Method for increasing the sensitivity of immunoassay system through pretreatment of urine with denaturant

ABSTRACT

An object of the present invention is to provide a method for increasing the sensitivity of an immunoassay system. In order to achieve the object, the present inventors have discovered that the sensitivity of an immunoassay system can be increased by pretreating urine and thus have completed the present invention.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a Divisional of U.S. application Ser. No. 14/437,568, which is the U.S. National Stage application of PCT/JP2013/078681, filed Oct. 23, 2013, which claims priority from Japanese application JP 2012-233891, filed Oct. 23, 2012.

The instant application contains a Sequence Listing which has been submitted in ASCII format via EFS-WEB and is hereby incorporated by reference in its entirety. Said ASCII copy, created on Dec. 16, 2016, is named sequence.txt and is 56 KB.

TECHNICAL FIELD

The present invention relates to a method for increasing the sensitivity of an immunoassay system through pretreatment of urine.

BACKGROUND ART

Measuring urinary proteins is useful for diagnosing various diseases and symptoms. When these proteins are measured, they are highly diluted in buffer and then used. However, it is difficult to detect some proteins that have recently been attracting attention because of their low concentrations in urine, if these proteins are highly diluted in a conventional manner.

An example of a substance related to renal diseases is urinary megalin. Convenient means for testing renal disorders, which comprise measuring urinary megalin, are disclosed (Patent Documents 1 and 2).

Megalin also known as Glycoprotein 330 (gp330) or Low Density Lipoprotein (LDL)-receptor relate protein 2 (LRP2) is a glycoprotein having a molecular weight of about 600 kDa, which is expressed in renal proximal tubular epithelial cells (Non-patent Documents 1 and 2).

As a result of cell culture experiments using renal proximal tubular epithelial cells, the presence of two types of megalin, membrane-bound full length megalin and Soluble-Form megalin (fragment containing the extracellular region) lacking the intracellular region, is known (Non-patent Document 3). A method for measuring urinary full length human megalin, the extracellular region thereof, and the intracellular region thereof has also been reported (Patent Document 3).

Since urinary megalin concentration is low, high-degree dilution makes the measurement of urinary megalin difficult. Urinary megalin should be measured without high-degree dilution or measured with increased sensitivity. A measurement method not involving high-degree dilution is already known (Patent Document 4), but no method that involves increasing sensitivity exists. Development of a method for increasing sensitivity and the combined use thereof with the method of Patent Document 4 make it possible to detect urinary proteins with even lower concentrations. This leads to early disease detection and thus is advantageous in terms of medical economy.

PRIOR ART DOCUMENTS Patent Documents

Patent Document 1: International publication WO2002/037099

Patent Document 2: International publication WO2010/126055

Patent Document 3: International publication WO2010/126043

Patent Document 4: International publication WO2009/041577

Non-Patent Documents

Non-patent Document 1: Christensen E. I., Willnow T. E. (1999) J. Am. Soc. Nephrol. 10, 2224-2236

Non-patent Document 2: Zheng G, McCluskey R. T. et al. (1994) J. Histochem. Cytochem. 42, 531-542

Non-patent Document 3: Flavia F. J., Julie R. I. et al. (1998) Kidney. International. 53, 358-366

SUMMARY OF THE INVENTION Problem to be Solved by the Invention

An object of the present invention is to provide a method for increasing the sensitivity of an immunoassay system.

Means for Solving the Problem

To achieve the above object, the present inventors have discovered that the sensitivity of an immunoassay system that is, assay sensitivity for urinary proteins to be measured can be increased by adding 1 type or 2 types of compound comprising a reducing agent, a chaotropic reagent, and a surfactant to urine for pretreatment thereof using these compounds. Thus, the present inventors have completed the present invention.

Specifically, the present invention is as follows.

[1] An immunoassay method for measuring a protein in a urine specimen, comprising pretreating a urine specimen by mixing the urine specimen with a denaturant, and then performing immunoassay, thereby improving assay sensitivity for the protein. [2] The immunoassay method of [1], wherein a urinary concentration of the protein is low. [3] The immunoassay method of [1] or [2], wherein the denaturant is a reducing agent. [4] The immunoassay method of [3], comprising pretreating a urine specimen by adding a reducing agent to the urine specimen at a concentration ranging from 0.0127 mM to 64 mM. [5] The immunoassay method of [3] or [4], wherein the reducing agent is glutathione. [6] The immunoassay method of [5], comprising pretreating a urine specimen by adding glutathione to the urine specimen at a concentration ranging from 0.0127 mM to 13 mM. [7] The immunoassay method of [3] or [4], wherein the reducing agent is cysteine. [8] The immunoassay method of [7], comprising pretreating a urine specimen by adding cysteine to the urine specimen at a concentration ranging from 0.0625 mM to 16 mM. [9] The immunoassay method of [3] or [4], wherein the reducing agent is penicillamine. [10] The immunoassay method of [9], comprising pretreating a urine specimen by adding penicillamine to the urine specimen at a concentration ranging from 0.0625 mM to 64 mM. [11] The immunoassay method of [1] or [2], whereby pretreatment is performed with a combination of 2 types of denaturant. [12] The immunoassay method of [11], wherein the denaturants combined herein are a reducing agent and a chaotropic reagent. [13] The immunoassay method of [12], wherein the reducing agent is glutathione and the chaotropic reagent is urea. [14] The immunoassay method of [12], wherein the reducing agent is cysteine and the chaotropic reagent is urea. [15] The immunoassay method of [12], wherein the reducing agent is penicillamine and the chaotropic reagent is urea. [16] The immunoassay method of [11], wherein the denaturants combined herein are a reducing agent and a surfactant. [17] The immunoassay method of [16], wherein the reducing agent is glutathione and the surfactant is sodium n-dodecylbenzenesulfonate (SDBS). [18] The immunoassay method of [16], wherein the reducing agent is cysteine and the surfactant is sodium n-dodecylbenzenesulfonate (SDBS). [19] The immunoassay method of [16], wherein the reducing agent is penicillamine and the surfactant is sodium n-dodecylbenzenesulfonate (SDBS). [20] The immunoassay method of any one of [13] to [15], comprising pretreating a urine specimen by adding urea to the urine specimen at a concentration ranging from 5 mM to 320 mM. [21] The immunoassay method of any one of [17] to [19], comprising pretreating a urine specimen by adding sodium n-dodecylbenzenesulfonate (SDBS) to the urine specimen at a concentration ranging from 1.43 mM to 5.74 mM.

This description includes all or part of the contents as disclosed in the description and/or drawings of Japanese Patent Application No. 2012-233891, which is a priority document of the present application.

Effect of the Invention

The present invention makes it possible to measure a urinary protein with a low concentration, which has been difficult to measure by conventional immunoassay methods using urine specimens.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows the results of comparing the measured values of urinary megalin in the presence and absence of reducing agents.

MODES FOR CARRYING OUT THE INVENTION

The present invention will be described in detail as follows.

The present invention is a method for increasing the assay sensitivity of an immunoassay system for measuring urinary proteins using urine as a specimen through pretreatment of urine.

Urine as a specimen may be obtained from any subject.

Specifically, urine collected from a healthy subject and urine collected from a subject with a specific disease or a subject in a specific health condition can all be used herein. Any method for collecting urine may be employed herein. Morning urine or spot urine is preferably used. In addition, the amount of urine required for the method of the present invention ranges from about 10 μL to 200 μL.

Examples of urinary proteins to be measured include, but are not limited to, megalin, podocalyxin, β2-microglobulin, α1-microglobulin, N-acetyl-⊕-D-glucosaminidase, Neutrophil gelatinase-associated lipocalin, Kidney Injury Molecule-1, midkine, L type fatty acid binding protein, interleukin 18, and type IV collagen. Urinary proteins may be proteins that could be discovered in the future.

These proteins are related to specific diseases and specific health conditions, the concentrations of which in urine are increased or decreased when a subject has a specific disease or a subject has a specific health condition.

For example, megalin, podocalyxin, β2-microglobulin, α1-microglobulin, N-acetyl-β-D-glucosaminidase, Neutrophil gelatinase-associated lipocalin, Kidney Injury Molecule-1, midkine, L type fatty acid binding protein, interleukin 18, and type IV collagen are proteins related to diseases with renal dysfunction. If highly sensitive measurement thereof becomes possible, early detection of renal disorder becomes possible, which is significantly advantageous for patients.

The concentrations of some of these proteins are so low in urine that the assay sensitivity therefor in general immunoassay is also low and these proteins are difficult to measure. According to the method of the present invention, the assay sensitivity for such proteins having low concentrations in urine can be increased when the proteins are measured by an immunoassay system using urine specimens. Hence, proteins having low concentrations in urine can be precisely determined.

A measurement system, the assay sensitivity of which can be increased by the method of the present invention, is a measurement system using antigen-antibody reaction with an antibody against a protein to be measured.

Urine can be pretreated by adding and mixing a treatment solution with which collected urine can be treated as desired. In the present invention, the pretreatment of a urine specimen means that such a treatment solution is added to and mixed with a urine specimen, so as to perform particular treatment of the urine specimen or a protein to be measured in the urine specimen with the use of the treatment solution.

Examples of treatment include pH adjustment for urine, masking of urinary sediment, as well as solubilization or denaturation of urinary proteins. Examples of a treatment solution include treatment solutions with which pH adjustment of urine, masking of urinary sediment, as well as solubilization or denaturation of urinary proteins can be performed. Preferably, a treatment solution with which urinary proteins can be solubilized or denatured is used.

An example of such a treatment solution is a solution prepared by adding a denaturant to a buffer. A buffer that is generally used for immunoassay can be used herein. A phosphate buffer, tris buffer, or the like having about pH6-9 can be used.

In the present invention, a denaturant is a compound that causes protein denaturation, or protein solubilization. Examples thereof include a surfactant, a chaotropic reagent, and a reducing agent.

Examples of a surfactant include anion-based surfactants, cation-based surfactants, ampholytic surfactants, and nonionicsurfactants. Preferably, anionic surfactants are used. Specific examples thereof include carboxylic acid type, sulfonic acid type, sulfuric acid ester type, and phosphoric ester type surfactants. Further specific examples thereof include sodium n-dodecylbenzenesulfonate (SDBS), sodium dodecyl sulfate (SDS), sodium octanoate, sodium decanoate, sodium laurate, sodium myristate, sodium palmitate, sodium stearate, perfluorononanoic acid, sodium N-lauroyl sarcosinate, α-sulfo fatty acid methyl ester salt, sodium 1-hexanesulfonate, sodium 1-octanesulfonate, sodium 1-decanesulfonate, sodium 1-dodecanesulfonate, perfluorobutanesulfonic acid, sodium toluenesulfonate, sodium cumenesulfonate, sodium octylbenzenesulfonate, sodium naphthalene sulfonate, disodium naphthalene disulfonate, trisodium naphthalene trisulfonate, sodium butylnaphthalenesulfonate, sodium myristyl sulfate, sodium laureth sulfate, sodium polyoxyethylene alkyl phenol sulfonate, ammonium lauryl sulfate, lauryl phosphoric acid, sodium lauryl phosphate, and potassium lauryl phosphate.

The term “chaotropic reagent” refers to a substance that increases the water solubility of hydrophobic molecules, and decreases hydrophobic interaction. Examples of a chaotropic reagent include guanidine thiocyanate, sodium perchlorate, sodium thiocyanide, guanidine hydrochloride, urea, and iodide ions. Any known chaotropic reagent may be used herein.

Examples of a reducing agent include glutathione, cysteine, penicillamine, tris (2-carboxyethyl) phosphine, aminoethanethiol, mercaptopropanesulfonic acid, mercaptosuccinic acid, thiolactic acid, mercaptopyrimidine, mercaptoethanol, and dithiothreitol. Any known reducing agent may be used herein.

Moreover, 1 type or a combination of 2 or more types of the above denaturant may be used herein. Examples of a combination include a combination of at least 1 type of reducing agent and at least 1 type of chaotropic reagent, a combination of at least 1 type of reducing agent and at least 1 type of surfactant, and a combination of at least 1 type of chaotropic reagent and at least 1 type of surfactant. Also, 2 or more types of reducing agent alone, 2 or more types of chaotropic reagent alone, and 2 or more types of surfactant alone can be used herein.

The final concentrations of a surfactant, a chaotropic reagent and a reducing agent in a urine specimen, when they are added as a treatment solution to the urine specimen can be determined as appropriate. For example the final concentrations may be determined from concentrations ranging from 0.01 mM to 500 mM. When a denaturant is a reducing agent, the reducing agent may be added at a concentration between 0.0127 mM and 64 mM, for example.

Moreover, concentrations of specific substances to be used as a surfactant, a chaotropic reagent, and a reducing agent, and specific combinations and concentrations thereof are as follows. When glutathione that is a reducing agent is used as a denaturant, the concentration thereof in urine ranges from 0.01 mM to 20 mM, preferably from 0.01 mM to 15 mM, further preferably from 0.01 mM to 13 mM, and particularly preferably from 0.0127 mM to 13 mM. When cysteine that is a reducing agent is used as a denaturant, the concentration thereof in urine ranges from 0.05 mM to 25 mM, preferably from 0.05 mM to 20 mM, further preferably from 0.01 mM to 16 mM, and particularly preferably from 0.0625 mM to 16 mM. When penicillamine that is a reducing agent is used as a denaturant, the concentration thereof in urine ranges from 0.05 mM to 100 mM, preferably from 0.05 mM to 75 mM, further preferably from 0.05 mM to 64 mM, and particularly preferably from 0.0625 mM to 64 mM.

Moreover, when the above reducing agent and urea that is a chaotropic reagent or sodium n-dodecylbenzenesulfonate (SDBS) that is a surfactant are used in combination, for example, 1 mM to 1000 mM, preferably 5 mM to 500 mM, and further preferably 5 mM to 320 mM urea can be used in combination with a reducing agent having a concentration within the above concentration range, for example. Alternatively, 0.5 mM to 20 mM, preferably 1 mM to 10 mM, and further preferably 1.43 mM to 5.74 mM SDBS can be used in combination with a reducing agent having a concentration within the above concentration range.

A specific example of a treatment solution is a solution of 400 mM Tris-HCl (pH8.0) containing 40 mM EDTA, 2% (Vol./Vol.) TritonX-100, and 1.625 mM glutathione. Such a treatment solution is added to and mixed with the same volume of a urine specimen, so that a urine sample solution can be obtained. For example, 50 μL of a treatment solution is added to and mixed with 50 μL of a urine specimen, and then the mixture can be used.

Through treatment of a urine specimen with the above denaturant, the physicochemical properties of an antigen protein (to be measured) in urine are altered, the frequency of contact of the antibody to the protein is increased, and thus antigen-antibody reaction is accelerated. Furthermore, treatment with the above denaturant can cause a decrease in non-specific binding. As a result, assay sensitivity for a protein in urine can be increased. Here, the expression, “assay sensitivity for a protein in urine is increased” means that the intensity of signals generated based on the presence of the relevant protein in an immunoassay system is increased, and at the same time background signals are decreased, so as to increase the intensity of signals generated based on the presence of the above relevant protein. An immunoassay system measures an antigen protein that is present in a sample by binding an antibody labeled with a labeling substance to an antigen protein to be measured, measuring signals generated from the labeling substance, and thus detecting the protein bound to the antibody. The term “signals” refers to signals that are generated from such a labeling substance. Examples of a labeling substance include a fluorescent substance, an enzyme, heavy metal, and a radiative isotopic element.

The present invention is an immunoassay method for measuring a protein in a urine specimen, which comprises pretreating a urine specimen by mixing a denaturant with the urine specimen for immunoassay, thereby improving the assay sensitivity for the above protein. The immunoassay method for measuring a protein in a urine specimen also increases the sensitivity of an immunoassay system; that is, assay sensitivity for a protein by mixing a denaturant with the urine specimen for pretreatment of the urine specimen, followed by immunoassay.

A measurement method employed when a protein to be measured is megalin is described in detail as follows. All proteins other than megalin can be measured based on the megalin measurement method.

Various methods can be used for detecting megalin from a urine sample solution. An example of a method for detecting megalin is an immunological technique. An immunological technique can be performed by immunostaining methods (including a fluorescent antibody technique, an enzyme antibody method, a heavy metal-labeled antibody method, and a radioisotope-labeled antibody method), methods using a combination of separation by electrophoresis and detection using fluorescence, enzyme, and radioisotope etc., (including Western blot method and fluorescence two-dimensional electrophoresis), an enzyme-linked immunosorbent assay (ELISA) method, a dot blotting method, a latex agglutination method (LA: Latex Agglutination-Turbidimetric Immunoassay), immunochromatography method, or the like. Preferably, ELISA methods or LA methods are employed. Among ELISA methods, a sandwich method is preferably employed from a quantitative viewpoint. In the case of a sandwich method, a urine sample solution is added to a microtiter plate to which an anti-megalin antibody has been immobilized for antigen-antibody reaction to take place, an enzyme-labeled anti-megalin antibody is further added for an antigen-antibody reaction to take place, washing is performed, the resultant is reacted with an enzyme substrate for color development, absorbance is measured, and thus urinary megalin is detected and the concentration of urinary megalin can be calculated from the measured value. Moreover, an antigen-antibody reaction is performed using a fluorescence-labeled anti-megalin antibody, and then fluorescence can be measured.

An anti-megalin antibody that is used in an immunological technique may be an antibody with which human megalin can be detected. An anti-megalin antibody that is used in the present invention may be a known antibody or an antibody that could be developed in the future. Examples of an anti-megalin antibody include, but are not particularly limited to: a monoclonal antibody, a polyclonal antibody, a chimeric antibody, a humanized antibody, and fragments thereof with binding activity. These antibodies may be labeled with enzymes or fluorescent dyes. In addition, 2 or more types of anti-megalin antibody may be used. Two (2) or more types of anti-megalin antibody are used for the above sandwich method, and are preferably antibodies that recognize epitopes differing from each other.

EXAMPLES

The present invention is described in detail with reference to examples of the present invention. However, the present invention is not limited thereto and various applications of the present invention are feasible within the technical idea of the present invention.

(Example 1) Comparison of Assay Sensitivity for Urinary Megalin Between the Presence and the Absence of Reducing Agent (1) Method for Measuring Urinary Megalin Using Urine not Subjected to Reduction Treatment

A fragment (the extracellular region of megalin) containing human megalin extracellular region was measured using a monoclonal antibody (anti-megalin extracellular region monoclonal antibody) against the human megalin extracellular region. The anti-megalin extracellular region monoclonal antibody is a mouse monoclonal antibody that recognizes an epitope that is present in the region (LBD1) between the 26^(th) amino acid and the 314^(th) amino acid of the amino acid sequence shown in SEQ ID NO: 2. Measurement was evaluated using anti-human megalin LBD1 monoclonal antibody A and anti-human megalin LBD1 monoclonal antibody B recognizing two different epitopes in LBD1. The human megalin extracellular region-containing fragment in urine was measured using a microtiter plate onto which an anti-human megalin LBD1 monoclonal antibody had been immobilized and an ALP-labeled anti-human megalin LBD1 monoclonal antibody B. First, 50 μL of urine and 50 μL of treatment solution A (400 mM Tris-HCl, 40 mM Ethylenediamine-N,N,N′,N′-tetraacetic acid (hereinafter, Ethylenediamine-N,N,N′,N′-tetraacetic acid is abbreviated as EDTA), 2% (vol./vol.) Polyethylene Glycol Mono-p-isooctylphenyl Ether (hereinafter, Polyethylene Glycol Mono-p-isooctylphenyl Ether is referred to as Triton X-100), pH8.0 solution) were mixed. The mixed solution (100 μL) was added to wells of the microtiter plate onto which an anti-human megalin LBD1 monoclonal antibody A had been immobilized (FluoroNunc (Trademark) Module F16 Black-Maxisorp (Trademark) Surface plate, Nalge Nunc International), and then left to stand at 37° C. for 1 hour. Subsequently, the urine sample solution that had been added to wells was removed by decantation. TBS-T was added at 200 μL/well to the wells of the microtiter plate, and then removed by decantation, followed by washing. The washing step was performed 3 times in total. Subsequently, an ALP-labeled anti-human megalin LBD1 monoclonal antibody B (0.5 ng/mL) solution was added at 100 μL/well. The ALP-labeled anti-human megalin LBD1 monoclonal antibody B was prepared with a diluent for a labeled antibody. The resultant was left to stand at 37° C. for 1 hour, and then the ALP-labeled antibody solution that had been added to wells was removed by decantation. TBS-T was added at 200 μL/well to the wells of the microtiter plate, and then removed by decantation, followed by washing. The washing step was performed 4 times in total. Subsequently, an assay buffer was added at 200 μL/well to the wells of the microtiter plate, and then removed by decantation, followed by washing. The washing step was performed 2 times in total. Next, CDP-Star (registered trademark) Chemiluminescent Substrate for Alkaline Phosphatase Ready-to-Use (0.4 mM) with Emerald-II (trademark) Enhancer (ELISA-Light (trademark) System: Applied Biosystems) was added as a substrate solution for ALP enzymatic reaction to wells at 100 μL/well, and then left to stand at 37° C. for 30 minutes while protecting the solution from light. Immediately after the procedure, the cumulative emission intensity of the wells was measured for 1 second. The measured values were used as indicators for evaluation of the measurement of urinary megalin. Microplate Luminometer Centro LB960 and MicroWin2000 software (Berthold) were used for measuring chemiluminescence intensity.

(2) Method for Measuring Urinary Megalin Using Urine Treated with Treatment Solutions Containing Reducing Agents

The above treatment solution A containing 1.625 mM glutathione was designated as treatment solution B, the above treatment solution A containing 2 mM cysteine was designated as treatment solution C, and the above treatment solution A containing 2 mM penicillamine was designated as treatment solution D. 50 μL of treatment solution B, C or D and 50 μL of a urine specimen were mixed. Urinary megalin was measured using each mixed solution as a urine sample solution. The measurement method was performed according to Example 1.

(3) Comparison of Assay Sensitivity for Urinary Megalin Between the Presence and the Absence of Reducing Agents

Urinary megalin was measured by the methods of (1) and (2) above using urine specimens from two healthy subject cases, and then the measured value of urinary megalin was compared between the presence and the absence of the reducing agents. The results are shown in FIG. 1. In FIG. 1, the vertical axis indicates RLU (Relative Light Unit). As shown in FIG. 1, the assay sensitivity for urinary megalin was increased by the use of the reducing agents. Specifically, the use of the reducing agents makes it possible to increase assay sensitivity, making it possible to measure low-concentration urinary megalin.

(Example 2) Examination of the Effective Concentrations of Reducing Agents

The effective concentrations of reducing agents used in Example 1 were examined using 2 healthy subject cases (specimen A and specimen B). The concentrations of the reducing agents, which were examined herein, are as follows: glutathione: 0 mM to 13 mM, cysteine: 0 mM to 16 mM, and penicillamine: 0 mM to 64 mM. The results for glutathione, cysteine and penicillamine are shown in Table 1, Table 2, and Table 3, respectively.

TABLE 1 Table 1 Examination of effective concentrations of glutathione Final concentration Specimen A Specimen B in urine (mM) RLU 0.0000 4662 1569 0.0127 5037 1689 0.0325 6435 2027 0.0507 9200 3974 0.0650 12410 3391 0.0975 19913 5113 0.1300 28973 7799 0.1625 33784 9113 0.1950 39771 10327 0.2031 70692 17162 0.8125 68211 15401 3.2500 35390 14563 13.0000 6329 6138

TABLE 2 Table 2 Examination of effective concentrations of cysteine Final concentration Specimen A Specimen B in urine (mM) RLU 0 4662 1569 0.0625 7219 2590 0.0750 7533 2434 0.1000 11372 4121 0.1250 14220 6171 0.1500 19778 8339 0.1750 29880 10088 0.2000 33934 9851 0.2250 42210 11102 0.2500 85447 20045 1.0000 66844 16103 4.0000 40183 12023 16.0000 10117 7002

TABLE 3 Table 3 Examination of effective concentrations of penicillamine Final concentration Specimen A Specimen B in urine (mM) RLU 0 4662 1569 0.0625 6710 2026 0.0750 7069 2442 0.1000 9667 3599 0.1250 13138 4094 0.1500 16949 5029 0.1750 22244 6902 0.2000 25704 7819 0.2250 32720 8321 0.2500 58711 16323 1.0000 56122 16901 4.0000 46086 15100 16.0000 25281 10903 64.0000 11352 5596

The sensitivity for urinary megalin measured using urine subjected to reduction treatment with glutathione having a concentration of 0.0127 mM-13 mM as shown in Table 1, with cysteine having a concentration of 0.0625 mM-16 mM as shown in Table 2, or with penicillamine having a concentration of 0.0625 mM-64 mM as shown in Table 3 was revealed to increase to degrees higher than that for urinary megalin measured using urine not subjected to reduction treatment.

(Example 3) Effects of Treatment Solutions Containing Reducing Agents and Chaotropic Reagents in Combination on Assay Sensitivity

(1) Measurement of Urinary Megalin Using Urine Treated with Treatment Solutions Containing Reducing Agents and Urea in Combination

Treatment solution B of Example 1 (2) containing 640 mM urea in addition to 1.625 mM glutathione as a reducing agent was designated as treatment solution E, treatment solution C of Example 1 (2) containing 640 mM urea in addition to 2 mM cysteine as a reducing agent was designated as treatment solution F, and treatment solution D of Example 1 (2) containing 640 mM urea in addition to 2 mM penicillamine as a reducing agent was designated as treatment solution G. A mixed solution prepared by mixing 50 μL of treatment solution E, F or G and 50 μL of urine was used as a urine sample solution and urinary megalin was measured. The measurement method was performed according to Example 1.

(2) Measurement of Urinary Megalin Using Urine Treated with Treatment Solutions Containing Reducing Agents and Sodium n-Dodecylbenzenesulfonate (SDBS) as a Surfactant in Combination

Treatment solution B of Example 1 (2) containing 2.87 mM SDBS in addition to 1.625 mM glutathione as a reducing agent was designated as treatment solution H, treatment solution C of Example 1 (2) containing 2.87 mM SDBS in addition to 2 mM cysteine as a reducing agent was designated as treatment solution I, and treatment solution D of Example 1 (2) containing 2.87 mM SDBS in addition to 2 mM penicillamine as a reducing agent was designated as treatment solution J. A mixed solution prepared by mixing 50 μL of treatment solution H, I or J and 50 μL of urine was used as a urine sample solution and urinary megalin was measured. The measurement method was performed according to Example 1.

(3) Measurement of Urinary Megalin Using Urine Treated with a Treatment Solution Containing a Chaotropic Reagent or a Surfactant

Treatment solution A of Example 1 (1) containing 640 mM urea as a chaotropic reagent was designated as treatment solution K, and treatment solution A of Example 1 (1) containing 2.87 mM SDBS as a surfactant was designated as treatment solution L. A mixed solution prepared by mixing 50 μL of treatment solution K or L and 50 μL of a urine specimen was used as a urine sample solution and urinary megalin was measured. The measurement method was performed according to Example 1.

(4) Effects of Treatment Solutions Containing Reducing Agents and Chaotropic Reagents or Surfactants in Combination

Urinary megalin was measured by the methods of Example 1 (1) and Example 3 (1)-(3) using a urine specimen from 1 healthy subject case. Thus, the effects of treatment solutions each containing a reducing agent and urea as a chaotropic reagent or SDBS as a surfactant in combination were examined. Table 4, Table 5, Table 6, Table 7, Table 8, and Table 9 show: the effect when a treatment solution containing glutathione and urea in combination was used, the effect when a treatment solution containing cysteine and urea in combination was used, the effect when a treatment solution containing penicillamine and urea in combination was used, the effect when a treatment solution containing glutathione and SDBS in combination was used, the effect when a treatment solution containing cysteine and SDBS in combination was used, and the effect when a treatment solution containing penicillamine and SDBS in combination was used, respectively. As shown in Table 4 to Table 9, assay sensitivity was found to increase to higher degrees by the use of the treatment solution containing both the reducing agent and the chaotropic reagent or the surfactant than that in the case of using the treatment solution containing any one of the reducing agent, the chaotropic reagent, and the surfactant. Specifically, the use of the treatment solution containing both the reducing agent and the chaotropic reagent or the surfactant makes it possible to increase assay sensitivity, making it possible to measure low-concentration urinary megalin.

TABLE 4 Table 4 Examination of the effects of treatment solutions containing glutathione and urea in combination RLU Reducing agent, no urea added 6354 Urea 6480 Glutathione 35594 Glutathione + Urea 40737

TABLE 5 Table 5 Examination of the effects of treatment solutions containing cysteine and urea in combination RLU Reducing agent, no urea added 6354 Urea 6480 Cysteine 35161 Cysteine + Urea 45544

TABLE 6 Table 6 Examination of the effects of treatment solutions containing penicillamine and urea in combination RLU Reducing agent, no urea added 6354 Urea 6480 Penicillamine 35996 Penicillamine + Urea 52485

TABLE 7 Table 7 Examination of the effects of treatment solutions containing glutathione and SDBS in combination RLU Reducing agent and no SDBS added 6354 SDBS 7751 Glutathione 35594 Glutathione + SDBS 42353

TABLE 8 Table 8 Examination of the effects of treatment solutions containing cysteine and SDBS in combination RLU Reducing agent, no SDBS added 6354 SDBS 7751 Cysteine 35161 Cysteine + SDBS 46735

TABLE 9 Table 9 Examination of the effects of treatment solutions containing penicillamine and SDBS in combination RLU Reducing agent, no SDBS added 6354 SDBS 7751 Penicillamine 35996 Penicillamine + SDBS 50733

(Example 4) Examination of the Effective Concentration of a Chaotropic Reagent or a Surfactant when a Reducing Agent and the Chaotropic Reagent or the Surfactant were Combined

The effective concentration of the chaotropic reagent or the surfactant used in Example 3 (1) and (2) was examined using a urine specimen from one healthy subject case. The concentrations of reducing agents in urine specimens are as follows: the concentration of glutathione was 0.8125 mM, the same of cysteine was 1 mM, and the same of penicillamine was 1 mM. The concentration of urea that is a chaotropic reagent or the same of SDBS that is a surfactant in the urine specimen was as follows: the concentration of urea examined; 0 mM-320 mM and the same of SDBS examined; 0 mM-5.74 mM. The results are shown in Table 10 and Table 11. Assay sensitivity was found to increase to higher degrees when urinary megalin was measured after the treatment of urine with a reducing agent and the chaotropic reagent or the surfactant; that is, the treatment of urine with urea having a concentration of 5 mM-320 mM in the presence of the reducing agents as shown in Table 10 or with SDBS having a concentration of 1.43 mM-5.74 mM in the presence of the reducing agents as shown in Table 11, than that in the case of urinary megalin measurement after the treatment of urine with only the reducing agents.

TABLE 10 Table 10 Examination of the effective concentrations of urea when used in combination with reducing agents Urea + Reducing agent Urea Glutathione Cysteine Penicillamine (mM) RLU 0 35594 35161 35996 5 36887 38541 49170 20 38649 41687 47767 80 38598 41936 42532 160 39081 40313 41831 320 40737 45544 52485

TABLE 11 Table 11 Examination of the effective concentrations of SDBS when used in combination with reducing agents SDBS + Reducing agent SDBS Glutathione Cysteine Penicillamine (mM) RLU 0 35594 35161 35996 1.43 42353 46735 50733 5.74 40512 42916 48650

All publications, patents, and patent applications cited herein are incorporated herein by reference in their entirety. 

1. An immunoassay method for measuring a protein in a urine specimen, comprising pretreating the urine specimen by mixing the urine specimen with glutathione and urea, or glutathione and sodium n-dodecylbenzenesulfonate (SDBS), and then measuring the protein in the urine specimen by performing immunoassay, thereby improving assay sensitivity for the protein.
 2. The immunoassay method according to claim 1, comprising pretreating the urine specimen by mixing the urine specimen with 0.0127 mM to 13 mM glutathione and 5 mM to 320 mM urea, or 0.0127 mM to 13 mM glutathione and 1.43 mM to 5.74 mM sodium n-dodecylbenzenesulfonate (SDBS), and then measuring the protein in the urine specimen by performing immunoassay.
 3. The immunoassay method according to claim 1, wherein the protein is megaline. 